HomeMy WebLinkAboutTargeted Clinical Health Services (PDF)JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2014
COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM
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PROGRAMS: Family Planning, School Based Health Clinics, Breast and Cervical Health, and Foot Care
MISSION: to provide targeted health services, health screenings and prevention services to specific populations with limited access to improve the health of the community.
Mission Statement for Family Planning Program: To provide accessible, high quality confidential reproductive health services in a safe, respectful environment.
Goals Objective Performance Indicator 2010
Actual
2011
Actual
2012
Actual
2013
Actual
2014
Planned
2014
Actual
Goal 1:
Assure low cost Family
Planning Services are provided
and accessible for all women Track Family Planning
usage pattern
Number of annual unduplicated clients
served in Family Planning 1,253 1,170 1,027 1125 1,100
917
Number of annual Family Planning
clients age 30-39 227 206 188 202 160 156
Number of annual Family Planning
Clients age 18-29 644 574 540 540 540 410
Goal 2:
Maintain low teen pregnancy
rate in Jefferson County
Provide access to
Emergency
Contraception 5 days/
week with an
appointment scheduled
within a week
Annual number of clients under 19 served
in Family Planning (from Ahlers report) 447 419 373 423 400
356
Goal 3:
Improve access to health care
for high school students in
Jefferson County
Serve 40% of enrolled
students at Port
Townsend and
Chimacum High
Schools through the
School Based Clinics
Number of annual unduplicated clients
served in the Chimacum and Port
Townsend School Based Health Clinics
296 313 297 287 300
287
Goal 4:
Reduce risk of death from
Breast and Cervical cancer **
Insure access to breast
and cervical screening
exams to women aged
40-65 years.
Number of Breast and Cervical Screening
exams annually for women aged 40-65 99 76 80 70 60
6
Goal 5:
Support seniors’ independence
by maintaining walking
mobility
Maintain community
Foot Care program
Number of annual foot care clients in
community centers and home visits 2,786 2,635 2,312 2075 2,200
1979
JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2014
COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM
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Study/Analysis 2014 Results and Funding Issues:
1.) Family Planning Access:
a. Family planning services are available at Jefferson County Public Health (JCPH) main reproductive clinic as well as at 3 satellite
clinics—Quilcene, Chimacum School-Based Health Center, and Port Townsend School-Based Health Center—and serve the
reproductive needs of clients up to the age of 65 years.
b. Outreach to JCPH clients and community regarding the Affordable Care Act continues to further increase accessibility to Family
Planning Services and comprehensive health care.
2.) Teen Family Planning:
a. JCPH continues providing confidential, respectful services for all clients, including teens and youth. Family planning services are
provided in School-Based Health Centers at the Chimacum and Port Townsend High Schools 2 days per week, at each school. Total
numbers in 2014 have decreased slightly from those in 2013.
b. Quilcene students have authorization from school administration to access the health clinic across the street for services; the clinic is
open once a week for family planning services.
3.) School-based Health Centers (SBHC):
a. School-based Health Clinic services in Chimacum and Port Townsend schools began its 7th year in Fall of 2014. Medical clinical
services are available 2 days per week in each of the schools for comprehensive medical services, including Family Planning.
Advanced Registered Nurse Practitioners (ARNP) also staff Quilcene clinic, which, as mentioned above is across the street from the
Quilcene School, once per month for services available to students as well as the community at large. Jefferson Healthcare funds
ARNP services at the Chimacum High School.
b. 39% of Chimacum students and 29% of Port Townsend students utilized the SBHC in the 2013-14 school year with a combined total
of 649 visits made. Chimacum is a rural area without easy access to medical clinics while the Port Townsend High School is located in
a town with access to 6 medical clinics within 2 miles of the school. Chimacum SBHC is staffed with medical providers 12 hours per
week; Port Townsend is staffed 8 hours per week. (Unduplicated student totals are taken from 2013-14 school year rather than the
2014 calendar year.)
c. JCPH contracts with Jefferson Mental Health to provide mental health services to students in the SBHC 2 days per week at both the
Chimacum and Port Townsend High Schools. Chimacum and Blue Heron (PT) Middle Schools also have 2 days of mental health
provided. Quilcene school district is provide with 1 day of mental health per week. (This is a subcontract made available by the
MHCD Jefferson County sales tax.)
JEFFERSON COUNTY PUBLIC HEALTH – Report PERFORMANCE MEASURES 2014
COMMUNITY HEALTH - TARGETED CLINICAL HEALTH SERVICES PROGRAM
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4.) Breast and Cervical Health: **
a. JCPH continues to provide women’s preventive screenings for women 40-64 years of age through the Breast and Cervical Health
Program (BCHP), which includes undocumented residents.
b. Educating clients about the Affordable Care Act and assisting with enrollment, has been a focus of JCPH since mid 2013. Currently, a
significant reduction in the number of clients using BCHP is noted, due to the increasing number of clients who are now covered by a
comprehensive health insurance plan.
5.) Foot Care:
a. JCPH has been providing Foot Care Services throughout East Jefferson County at Community Centers, Adult Care Facilities and
home visits for over 20 years.
b. From Jefferson County’s Community Health Assessment – Jefferson County residents’ Median age is 55.1 in 2012. Median age
divides a population into two equal halves so that 50% of the residents in a given place are older, and 50% are younger. Since 2010,
Jefferson County’s median age has been the highest in Washington State. In 2012, Jefferson median age is 17 years higher than
Washington State.
c. The JCPH Foot Care Program helps this population maintain independence and mobility by providing foot maintenance at community
centers and in homes. Foot Care services provide what a client can no longer perform for themselves, such as filing calluses, cutting
nails, and tending to sores resulting from diabetes.
d. Demand for Foot Care fluctuates based on need. Foot Care Staff provide outreach material to Health Care Providers, Community
Centers and Adult Care communities.
March 24, 2015 – Susan O’Brien and Julia Danskin